Provides the initial nursing assessment on patients involving physical, physiological and psychosocial status. This assessment should include therapeutic regimen and environmental factors involved in the patient’s care.

Performs patient care according to plan of care and MD orders

Counsels and instructs patients and caregivers in meeting nursing and related needs.

Coordinates care with physician and other disciplines involved through participation in patient care conferences and ongoing conferences as needed.

Maintains patients field chart for each patient assigned with current and updated orders for frequency, services and treatment, accurate and up to date medication list, clinical notes, and communication notes.

D. Case Management:

Responsible for the overall planning, ongoing care, and discharge planning of the patient’s care.

Responsible that patient’s plan of care meets all regulations and that payment is authorizes when necessary.

Responsible for notifying physician of changes to the plan of care and/or barriers to plan of care.

Responsible for reporting patient’s care, progress and barriers to plan of care in Case Conferences and as needed to DPCS.

Responsible for appropriate follow up to patient’s labs as appropriate.

E. Supervision:

Responsible for Supervision of CHHA by establishing CHHA plan of care, performing and documenting CHHA supervisory visits every 14 days, and updating the CHHA plan of care as needed.

Responsible for Supervision of LVN by overseeing patient’s care, communication with LVN, updating plan of care as needed.

Non-Essential Duties:

Participates in agency committees as appropriate.

Participates in QI process as requested in UR, chart audits, and QI committees.

Provides support and direction for nursing students and other health care students.

Participates in orientation of other personnel.

Other duties as assigned.

Knowledge, Skills and Abilities:

Knowledge

Knowledge of Nursing Process including assessment, and planning of patient’s care, overseeing appropriate patient’s care within scope of practice.

Skills

Good communication skills

Strong assessment skills

Strong clinical skills

Good critical thinking skills

Basic computer skills required

Abilities

Organization – must demonstrate basic ability to maintain schedule of home visits and complete paperwork according to agency procedures.

Must have good communication skills and have the ability to connect with patients and families in their homes in a kind and compassionate way.

Ability to project and maintain professionalism in all aspects of patient’s care

Ability to function independently seeking assistance when appropriate

Ability to supervise LVN’s and CHHA’s as required

Ability to take ownership of patient’s plan of care including establishing an appropriate plan of care, overseeing that care is done according to plan of care, communicate with physician and revise plan of care as needed.

Ability to understand basic Home Health regulations and financial impact of care being provided.

Ability to oversee all aspects of the patient’s care, insuring it meets all regulations, and that payment is authorized as required.

Core Competencies: All AVH employees will effectively demonstrate these behaviors:

Accountability

Action Oriented

Customer Focused

Compassion

Effective Communication

Teamwork

Ethics & Values

Integrity & Trust

Education and Experience:

Education

Must have successfully completed an approved course and graduated from an approved school of nursing.

Experience

At least 1 year recent relevant clinical experience as an RN in an acute hospital setting.

Home Health experience preferred. Must have strong clinical skills in order to function independently in the field.

Required Licensure and/or Certifications:

Current licensure as an RN in California.

Current CPR certification

Maintains a valid California driver’s license and evidence of current auto insurance.

Home Care: Exposure to a variety of home environments; may involve exposure to variable weather conditions.

A detailed description of the physical requirements of this job is maintained in the Employee Health Department.

Closing Statement

Looking for an opportunity to work in healthcare the way you always dreamed you could? At Antelope Valley Hospital, our employees are at the heart of what we do best – delivering high quality, patient-centered healthcare.

Antelope Valley Hospital, a 420 bed acute care facility, located just 60 miles north of Los Angeles, the Antelope Valley is one of Southern California’s fasted growing communities. We are a Level II Trauma Center and Joint Commission Primary Stroke Center Accredited. Serving the community for over 50 years, our non-profit hospital has grown to be the preeminent healthcare facility for our district’s nearly 1.2 million residents.